Psychological Service Associates, Inc in Fort Wayne - Clinical
Psychological Service Associates, Inc - NPI 1558441063
Psychological Service Associates, Inc is a Clinical in Fort Wayne, Indiana. Psychological Service Associates, Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Psychological Service Associates, Inc is 1558441063. The last update date is 2022-07-21.
Psychological Service Associates, Inc's current location address is 3421 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604828427 and fax number 2604828429. The mailing address for Psychological Service Associates, Inc is 3421 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychological Service Associates, Inc |
|---|---|
| Address | 3421 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604828427 |
| Fax Number | 2604828429 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leib W Jere |
| Credentials | PH.D. |
| Telephone Number | 2604828427 |
NPI Number Detail
| NPI Number | 1558441063 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3421 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468054830 |
| Phone Number | 2604828427 |
| Fax Number | 2604828429 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 176183 | IN | BCBS GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Psychological Service Associates, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Psychological Service Associates, Inc has been assigned the NPI (National Provider Identifier) 1558441063. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Psychological Service Associates, Inc's facilities are geographically located?
The facilities of Psychological Service Associates, Inc are physically situated at the following location: 3421 E State Blvd, Fort Wayne, IN, 468054830.
What is the area of specialization for Psychological Service Associates, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Psychological Service Associates, Inc is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Psychological Service Associates, Inc receive its 1558441063 assignment from the Centers for Medicare & Medicaid Services?
The Psychological Service Associates, Inc was assigned its 1558441063 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the details pertaining to Psychological Service Associates, Inc last refreshed?
The information related to the Psychological Service Associates, Inc, including its address, specialty, and other relevant details, was last updated on 2022-07-21.